PSEUDOEPHEDRINE HCL 60MG/TRIPROLIDINE HCL 2.5MG CAP (4614) VA PRODUCT (50.68)

Name	Value
NAME	PSEUDOEPHEDRINE HCL 60MG/TRIPROLIDINE HCL 2.5MG CAP
VA GENERIC NAME	PSEUDOEPHEDRINE/TRIPROLIDINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	TRIPROLIDINE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	PSEUDOEPHEDRINE/TRIPROLIDINE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PSEUDO 60/TRIPROLIDINE 2.5MG CAP
VA PRODUCT IDENTIFIER	P0329
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4005161
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE